Provider Demographics
NPI:1245304773
Name:PAPOYAN, ROSEANNE RUZANNA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ROSEANNE
Middle Name:RUZANNA
Last Name:PAPOYAN
Suffix:
Gender:
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 N VINE ST
Mailing Address - Street 2:#11
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038
Mailing Address - Country:US
Mailing Address - Phone:818-334-3772
Mailing Address - Fax:323-957-9846
Practice Address - Street 1:1253 VINE ST
Practice Address - Street 2:#11
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-1662
Practice Address - Country:US
Practice Address - Phone:818-334-3772
Practice Address - Fax:323-957-9846
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54097183500000X, 1835P0018X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA54097OtherSTATE LIC FOR PHARMACIST